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- W4319265150 abstract "Postoperative delirium (POD) is a huge burden on the health of surgical patients and the medical system. Acupuncture has been used to prevent delirium. This review aimed to evaluate the preventive effect of acupuncture on POD. Four key databases were searched from inception to July 31, 2022 for randomized controlled trials (RCTs) where acupuncture was the main intervention for preventing POD. The primary outcome was the incidence of POD and the secondary outcome was the duration of POD. Data were synthesized using risk ratio (RR) or mean difference with 95% confidence interval (CI). Eleven trials with 801 participants were included, which were generally of low methodological quality. Acupuncture could reduce the incidence of POD (RR=0.39, 95%CI= 0.30 to 0.51, P<0.00001). Subgroup analyses demonstrated that the preventive effect of acupuncture on POD was observed in patients with mean age ≥ 65 years and mean age < 65 years or patients undergoing orthopedic surgery, digestive surgery and cardiac surgery; both electroacupuncture and manual acupuncture were beneficial; and acupuncture was favored in preventing POD when compared with blank control and sham control. No significant publication bias was found. Due to the limited number of trials reporting on the duration of POD, it was not analyzed. Acupuncture could significantly reduce the incidence of POD. However, the findings were inconclusive due to weak evidence. High-quality, large sample and multi-center RCTs are needed to reconfirm the findings. (PROSPERO ID is CRD42022348136)." @default.
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- W4319265150 date "2023-04-01" @default.
- W4319265150 modified "2023-09-24" @default.
- W4319265150 title "Acupuncture for the prevention of postoperative delirium: A systematic review and meta-analysis" @default.
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- W4319265150 doi "https://doi.org/10.1016/j.eujim.2023.102235" @default.
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